Active NPIIndividual providerSole proprietor

Dr. Youngsuk Kim

Psychologist, Clinical in Charlestown, Massachusetts

NPI Number1659973246
Practice location
1 Constitution Plz Ste 140, Charlestown, MA 02129-2025
Fax
—
Last updated
January 29, 2021

Youngsuk Kim is a Psychologist, Clinical based in Charlestown, MA. Youngsuk Kim practices in Charlestown, MA. The NPI Number for Youngsuk Kim is 1659973246 and holds a License No. PS01899 (RI). The current practice location address for Youngsuk Kim is 1 Constitution Plz Ste 140, Charlestown, MA 02129-2025 and can be reached out via phone at 617-899-5456.

Provider Profile Details

NPI Number
1659973246
Provider Name
Youngsuk Kim
Provider Entity Type
Individual
Gender
Female
Address
1 Constitution Plz Ste 140, Charlestown, MA 02129-2025
Phone Number
617-899-5456
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 10, 2020
Last Update Date
January 29, 2021
Certification Date
January 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Constitution Plz Ste 140
Charlestown, MA 02129-2025
Zip
02129-2025
Phone Number
617-899-5456
Charlestown, MA 02129Get directions →

Provider Business Mailing Address Details

Address
1 Constitution Plz Ste 140
Charlestown, MA 02129-2025
City
Charlestown
State
MA
Zip
02129-2025
Phone Number
617-899-5456

License Information

License Number (1)
PS01899
License State (1)
RI
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
11390
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Youngsuk Kim?

The NPI number of Dr. Youngsuk Kim is 1659973246. It was assigned on November 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Youngsuk Kim?

Dr. Youngsuk Kim is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number PS01899.

Where does Dr. Youngsuk Kim practice?

The practice location is 1 Constitution Plz Ste 140, Charlestown, MA 02129-2025. The office can be reached at 617-899-5456 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659973246 directly on the NPPES registry website.

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